Cyclists with a "Running" Problem

[Stretch]

Nooooooooooo 

 

It's a huge risk... the year of my first Comrades (that hot one from hell) they had 30 runners admitted to ICU, something like 90% of them had taken Myprodol.

 

 

 

yes and no - you have to be smart. That myprodol man took 9!!

 

My first comrades I had runners knee. Took one at the start. One at 35 and one at 70. Prob didnt need the last one or the second one for that matter..but I made sure I was continuously flushing the system and keeping myself hydrated.

 

If you are someone who reacts to even a panado..then dont take any. Each person needs to assess their own circumstance and act accordingly. I know that I am capable of taking three without any issues. Second comrades I took no medication at all

[Andrew Steer]

Another article on it... I'll actually ask V12 man to come on here though

 

http://www.runnersworld.com/injury-treatment/what-runners-should-know-about-pain-medications

 

On the better option to Myprodol, I think it was Cataflam (edit: it's bad too!) - but let's first double check that.
Myprodol is a mix of a few things, and that's part of the problem.

 

Also you must never mix these things, don't take a myprodol and then something different.

 

Hopefully Guy will paint a clearer picture though

Edited April 5, 2017 by Andrew Steer

[Andrew Steer]

Howzeeet running crew. What's shaking? (Booked myself off the hub with assignments that were looming.) Seems like there are plenty of us doing OMTOM in both versions. 

 

Would be interesting to get a view of who is doing which and what their goals are. I'm doing the half as I (fortunately) have not qualified for the ultra... This will be my first OMTOM half. Have 2 Gun Run halfs and the Cape Town Marathon completed. 

 

Tube - 21km - Seeded D - Goal: sub 1:50

 

It's my first one so I'm struggling to weigh up the beast - thinking just over 6 hours probably?

 

First part looks pretty fast, those hills at the end will definitely be getting some walking though!

[Rocket-Boy]

Ja, these club shorts are seriously pseudo hot pants! Used mine once and even though they're so short, had them climb all up in the sweet spot!

 

I've had to go hunting for some substitute shorts that are the same club colour and slightly closer to boardie length, I'll be more comfy in. Found a decent pair of nike football shorts that work. Did a test run in them last week and they're good to go!

 

(Wonder how Patch would handle this issue given his sock length fetish...)

I dont know how you run in shorts, my thighs would be bleeding after a half marathon in them.

I gave up all pride and started running in tights, those things are awesome.

[Jurgens Smit]

Hey guys, how do you guys treat achilles injuries, and how do you strengthen it to prevent more injuries? My calves are pretty tight, so I have started stretching them as well.

 

I'm struggling on/off with my left tendon, every 2 weeks or so this thing is sore for a day or 2.

[Stretch]

Hey guys, how do you guys treat achilles injuries, and how do you strengthen it to prevent more injuries? My calves are pretty tight, so I have started stretching them as well.

 

I'm struggling on/off with my left tendon, every 2 weeks or so this thing is sore for a day or 2.

 

go for a lower leg massage - worth every cent

[V12man]

you cant damage the ITB..but the pain is a result of it rubbing against the knee...which will affect her gait and cause possible muscle damage elsewhere. If she can pull through the pain then fine..but I have been struck by that pain before and its not nice.

 

Nothing wrong with Myprodols in moderation. Take one just before you startt and another about ten minutes before chappies

Terrible advice - never ever take NSAIDS immediately before, during or after any endurance activity.

 

The effect on Renal (kidney) function can be extreme, and life threatening, especially when associated with even mild dehydration.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4034033/

 

Permanent kidney damage is NOT what you want - ever.

 

Comrades also has a position - trust me its accurate

 

http://www.comrades.com/marathoncentre/faq/2-uncategorised/317-medical-information

 

And to save you clicking on it..

 

The third way is DO NOT TAKE ANY MEDICATION AT ALL during the race, especially anti-inflammatories [e.g. Voltaren, Cataflam, etc]. This also includes other pain killers and supplements for cramp etc. There are increasing numbers of runners developing renal failure after Comrades, and one of the major contributing factors to this trend is the taking of anti-inflammatories during the race. Renal Failure is a serious condition and can be fatal.

[Jurgens Smit]

go for a lower leg massage - worth every cent

 

Is this a short term or long term solution?

I have a massage scheduled for Friday, but I'm looking to solve the cause and not just treat the pain temporarily each time.

[V12man]

Another article on it... I'll actually ask V12 man to come on here though

 

http://www.runnersworld.com/injury-treatment/what-runners-should-know-about-pain-medications

 

On the better option to Myprodol, I think it was Cataflam - but let's first double check that.

Myprodol is a mix of a few things, and that's part of the problem.

 

Also you must never mix these things, don't take a myprodol and then something different.

 

Hopefully Guy will paint a clearer picture though

Cataflam is probably worse than Myprodol - every athletic kidney problem I have helped with has been Voltaren or Cataflam (essentially the same thing) - but all NSAIDS are in the same boat to a greater or lesser degree.

 

DO NOT TAKE them is the basic rule for endurance events.

 

Myprodol is a codeine/ibuprofen mix - neither of which are recommended for use in patients with renal impairment at any time - ibuprofen can by it's very mechanism constrict the renal arteries (amongst other side effects) and this is definitely a no no for endurance events - Voltaren does the same thing and is definitely the biggest killer at comrades - google will find you plenty of papers on this.

[Andrew Steer]

Cataflam is probably worse than Myprodol - every athletic kidney problem I have helped with has been Voltaren or Cataflam (essentially the same thing) - but all NSAIDS are in the same boat to a greater or lesser degree.

 

DO NOT TAKE them is the basic rule for endurance events.

 

Myprodol is a codeine/ibuprofen mix - neither of which are recommended for use in patients with renal impairment at any time - ibuprofen can by it's very mechanism constrict the renal arteries (amongst other side effects) and this is definitely a no no for endurance events - Voltaren does the same thing and is definitely the biggest killer at comrades - google will find you plenty of papers on this.

 

Thanks for clarifying 

[V12man]

Hey guys, how do you guys treat achilles injuries, and how do you strengthen it to prevent more injuries? My calves are pretty tight, so I have started stretching them as well.

 

I'm struggling on/off with my left tendon, every 2 weeks or so this thing is sore for a day or 2.

Massage using the outlet pipe of a pool when the pump is running.... twice a day for 10 min.

 

Just sit on the side of the pool and put your foot/heel in -  hold it in the stream and move it around gently within your pain threshold - closer will create higher pressure.

 

This will save you plenty on physio fees.

[Jackes]

Terrible advice - never ever take NSAIDS immediately before, during or after any endurance activity.

 

So if the ITB becomes unbearable, that's it, the end of your race?

 

And if she is on anti inflammatories now, how long before the race should she stop taking them?

Edited April 5, 2017 by Jackes

[Stretch]

Terrible advice - never ever take NSAIDS immediately before, during or after any endurance activity.

 

The effect on Renal (kidney) function can be extreme, and life threatening, especially when associated with even mild dehydration.

 

 

Read  - what I said later - each person has to assess what they can or cannot take. I am not saying happily pop myprodols or cataflams at will. I know that I can take a couple of myprodols during an endurance event, because i also know that I make sure I am well fed and well hydrated. I am well aware of the risks

 

I do agree  -its not good advice to just say - take xyz.

 

Comrades are definitely covering their bases because people do stupid things - especially if they are injured...and I am amazed when people take 4 or 5 ..which is not uncommen

[V12man]

So if the ITB becomes unbearable, that's it, the end of your race?

 

And if she is on anti inflammatories now, how long before the race should she stop taking them?

1 - Yes

2 - she should stop now and deal with the problem - NSAIDS just mask the pain - don't actually do anything for it, except let you make the problem worse.

 

I always recommend a stretch for ITB - I have posted it here somewhere - you can search for it. Only thing (apart from surgery) that I KNOW works - both from colleagues, personal experience and patients - if it doesn't work, then surgery combined with the stretch works.

 

It's a long time since I was at varsity - but most runners that suffer from ITB seem to be supinators, and often (unfortunately) wear shoes suitable for pronators, rather than for supinators - this does seem to exacerbate the incidence of ITB (to paraphrase TD Noakes)

 

So - Rest, Ice, Stretch, Shoes are on my list of things you should look at.

 

And get her off those NSAIDS - they are not helping.

[Jackes]

Thanks for helping, but not helping... 

[the nerd]

Run without shoes, just in your garden or somewhere with nice grass. 

 

I did that after i damaged my knee and ITB and it really helped. 

 

Some ultra runners warm up without shoes, they believe it works to warm up effectively.